Personal information

United States

Biography

I am an Assistant Professor in the Department of BioHealth Informatics at the Indiana University of School of Informatics and Computing and an expert practicing certified adult and family nurse practitioner. I earned a Doctor of Nursing (DNP) Practice with a focus on informatics and Master of Science in Health Informatics degrees at Indiana University, concentrating on integrating informatics into practice. In order to also focus on personalized medicine, pharmacogenomics, and health informatics, I completed a post-doctoral fellowship in the Department of Clinical Pharmacology at the Indiana University School of Medicine in December 2019. During this fellowship, I conducted manual data extraction and analysis of data outcomes (interim study) for drug-gene and drug-drug interactions associated with tramadol and codeine therapy in the Indiana Genomics Implementation: An Opportunity for the Underserved (INGENIOUS) Trial. This interim study's two significant findings include genotype and metabolizer status were associated with differential prescribing behavior, and genotype alone was insufficient to predict opioid efficacy (pain control) without considering concomitant drug-drug interactions.

Based on the outcomes from this interim study, I garnered an EMPOWER grant to perform automated data extraction for the INGENIOUS Trial to examine adverse drug events for 19,000+ patients. The data analysis for all participants in the INGENIOUS Trial using automated data extraction is ongoing. The next steps in research and funding involve using informatics approaches to explore the pharmacogenetics and drug-drug interactions associated with these opioids by adding natural language processing to the data extraction methods for the INGENIOUS Trial.

As a healthcare practitioner focusing on the interface between mHealth, research, and education, I am intensely interested in improving population health through innovation and technology use. For example, I applied my informatics knowledge in several Technology Informatics Guiding Educational Reform (TIGER) Initiative projects using mixed methods, including surveys and structured interviews. I collaborated with the National Library of Medicine librarians to develop an international virtual library of nursing informatics and technology resources. I conducted two national surveys about faculty and organizational characteristics associated with informatics/health information technology adoption in DNP programs. I also applied my informatics knowledge and research skills by collaborating to examine the nature of clinical hours that nurse practitioner students complete during practicum courses and exploring the activities of students when they are not engaged in direct patient care. I am a co-investigator for an administrative supplement for the Development of Training Modules in Genomic Medicine for Health Care Professionals to develop an online pharmacogenomics education program for multidisciplinary healthcare providers. This training will include modular/multi-level training, the ability to work with real genetic data, micro-credentialing (digital badges), and continuing education credits that will meet individual clinicians' varying needs. This education will be based on the Test2Learn platform and will be scalable for nationwide deployment. In June 2021, I was awarded an internal competitive research award to use currently existing natural language processing (NLP) tools to help extract data from the clinical narrative (free-text) notes relevant to adverse reactions to opioids.

Activities

Employment (8)

Indiana University: Bloomington, Indiana, US

2020-08-16 to present | Nurse Practitioner
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Informatics and Computing: Indianapolis, IN, US

2019-01-02 to present | Assistant Professor (Department of BioHealth Informatics)
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University Student Health Center: Bloomington, Indiana, US

2005-05 to 2020-05-31 | Adult and Family Nurse Practitioner
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University Bloomington Health Center: Bloomington, IN, US

2005 to 2020-05-31 | Nurse Practitioner
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University : Bloomington, Indiana, US

2002 to 2020-03 | Nurse Practitioner (Athletic Department)
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, IN, US

2012-08-01 to 2018-08-01 | Clinical Assistant Professor (Science of Nursing Care Department)
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, IN, US

2006 to 2012-07-31 | Adjunct Lecturer
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University Bloomington Health Center: Bloomington, IN, US

2000-05-01 to 2001-10 | Nurse Practitioner
Employment
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Education and qualifications (6)

Indiana University School of Informatics and Computing: Indianapolis, IN, US

2012-08-01 to 2014-05 | Masters of Science in Health Informatics
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, Indiana, US

2012-05-13 | Doctor of Nursing Practice
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, IN, US

2012-05-13 | Nursing Informatics Certificate
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, IN, US

1997-05 | Post-Master's Option Nursing Care of Families (FNP track)
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Indiana University School of Nursing: Indianapolis, Indiana, US

1989-08 | Master of Science in Nursing of Adults (ANP track)
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

DePauw University: Greencastle, IN, US

1981-08 to 1985-05 | Bachelor of Science in Nursing
Education
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Funding (2)

Indiana University Natural Language Adverse Drug Narrative Delineation (INLAND)

2020-06 to 2021-06 | Grant
Indiana University-Purdue University Indianapolis (IN, IN, US)
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Enhanced Mentoring Program with Opportunities for Ways to Excel in Research (EMPOWER) Grant

2019-01 to 2020-12 | Grant
The Office of the Vice Chancellor for Research and the Office for Women, IUPUI (Indianapolis, US)
GRANT_NUMBER: 0
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Works (9)

Advanced practice nurse pharmacogenomics capacity and utilization

Journal of the American Association of Nurse Practitioners
2024-07 | Journal article
Contributors: Cathy R. Fulton; Anna L.M. Macagno; Stephanie L. Dickinson; Kathleen Calzone
Source: check_circle
Crossref

Evaluation of accessibility of open-source EHRs for visually impaired users.

AMIA ... Annual Symposium proceedings. AMIA Symposium
2024-01-01 | Journal article
Contributors: Moncy MM; Pilli M; Somasundaram M; Purkayastha S; Fulton CR
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

The INGENIOUS trial: Impact of pharmacogenetic testing on adverse events in a pragmatic clinical trial

The Pharmacogenomics Journal
2023-11 | Journal article
Part of ISSN: 1470-269X
Part of ISSN: 1473-1150
Contributors: Michael Eadon; Marc B. Rosenman; Pengyue Zhang; Cathy R. Fulton; John T. Callaghan; Ann M. Holmes; Kenneth D. Levy; Samir Gupta; David Haas; Raj Vuppalanchi et al.
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Improving Health Informatics Competencies Using an Open-source Educational EHR

2023 IEEE 11th International Conference on Healthcare Informatics (ICHI)
2023-06-26 | Conference paper
Contributors: Saptarshi Purkayastha; Cathy Fulton; Sahaja Ratna
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Drug–gene and drug–drug interactions associated with tramadol and codeine therapy in the INGENIOUS trial

Pharmacogenomics
2019-04 | Journal article
Part of ISSN: 1462-2416
Part of ISSN: 1744-8042
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Pharmacogenetics and Practice: Tailoring Prescribing for Safety and Effectiveness

The Journal for Nurse Practitioners
2018-11 | Journal article
Part of ISSN: 1555-4155
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Clinical Hours in Nurse Practitioner Programs Equals Clinical Competence

Nurse Educator
2017 | Journal article
Part of ISSN: 0363-3624
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Informatics and Healthcare Technology: Role of Informatics to and for Nursing

Issues and Trends in Nursing: Practice, Policy and Leadership (2nd Ed.)
2017 | Book chapter
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC

Faculty and Organizational Characteristics Associated With Informatics/Health Information Technology Adoption in DNP Programs

Journal of Professional Nursing
2014-07 | Journal article
Part of ISSN: 8755-7223
Source: Self-asserted source
Cathy R Fulton, DNP, MSHI, RN, ANP-BC, FNP-BC